Editorial
Making Medical Care Available For Diabetics

In commemoration of this year’s World Diabetes Day today, 14 November 2022, medical experts have
emphasised the need to raise awareness of the growing burden of this disease, and strategies to prevent and manage the threat. This year’s theme is again “Access To Diabetes Care”, as it was last year, and will be again in 2023, highlighting the importance of prevention and response efforts.
This theme is focused on intensive diabetes education for healthcare professionals and the people living with diabetes which would enable better access to quality educational platforms educating and encouraging early diagnosis and adhering to a better lifestyle and preventive tips to fight the escalating prevalence of diabetes worldwide.
Furthermore, the theme concentrates on providing better educational content and coaching to the healthcare professional on effectively detecting and diagnosing diabetes and utilising their precious time to impart education to diabetes patients on how to prevent this disease by having lifestyle changes. This would provide mental support to the patients and help them to understand their current situation to assist prevent any further complications.
WDD was founded by the International Diabetes Foundation (IDF) in collaboration with the World Health Organisation (WHO) in 1991, and it became an official United Nations Day in 2006 under UN Resolution 61/225. The day 14 November was chosen to commemorate the birthday of Sir Frederick Banting, co-discoverer of Insulin along with Charles Best, in 1922.
Diabetes is a disorder in which the body fails to process and utilise the glucose which is produced from the food we consume. Glucose is the leading source of energy in the body. Inefficient assimilation of glucose can hamper one’s day-to-day activity, and unmanaged diabetes could lead to fatal complications like cardiovascular issues, nerve damage, kidney damage, foot damage, skin infections, erectile dysfunction, depression, dental problems and more.
According to International Diabetes Foundation (IDF), diabetes caused 67 lakhs death in 2021, and it is estimated that 53.7 crore (1 in 10) people were living with this disease in the same year and there is an indication that this count will rise to 64.3 crore in 2030 and 78.3 crore by 2045.
It is considered that 1 in 2 adults, affected with diabetes remains undiagnosed, the majority of them suffering from type 2 diabetes, which can be prevented with few lifestyle changes and healthy dietary habits. Because of the lack of proper information and guidance to understand the signs and symptoms and get an early diagnosis to start the preventive measures, it is projected that nearly 54.1 crore adults are at risk of developing type 2 diabetes.
World Health Organisation says about 422 million people worldwide have diabetes, the majority living in low and middle-income countries like Nigeria, and 1.6 million deaths are directly attributed to the ailment each year. Both the number of cases and the prevalence of diabetes have been steadily increasing over the past few decades.
Africa’s diabetes statistics illustrate the depth of the challenge: 24 million adults are currently living with diabetes, with that number predicted to swell by 129% to 55 million by 2045. Last year, diabetes mellitus took the lives of 416,000 people on the continent and is forecast to become one of the leading causes of death in Africa by 2030. Diabetes is the only major non-communicable disease (NCD) for which the risk of dying early is increasing, rather than decreasing.
Experts’ assessment of the illness in Nigeria reported that its prevalence had increased from 2.2 per cent in 1992 to 5.77 per cent in 2017, a 2.6-fold increase in prevalence over the past two and half decades. Researchers’ analysis of diabetes reported its prevalence was highest in South-South Nigeria. It was 3.0 per cent in the North-West; 5.9 per cent in the North-East, 3.8 per cent in the North-Central, 5.5 per cent in the South-West, 4.6 per cent in the South-East, and 9.8 per cent in the South-South.
They found that urban dwellings, physical inactivity, advanced age, and an unhealthy diet are critical risk factors for the ailment among Nigerians, recommending a national diabetes care and prevention policy. The modest improvement in living standards witnessed over the past few years in Nigeria has resulted in the ageing of its populace. Insulin resistance tends to worsen with advancing age. This, coupled with decreased physical activity among the aged, increases the risk of type 2 diabetes.
As Nigeria joins the rest of the world to mark the 2022 World Diabetes Day, the Federal Government should initiate policies that would put the care and management of diabetes on the front burner in the country in the interest of millions of Nigerians living with the disease. State governments should commence an immediate campaign for diabetes prevention and control, beginning from this year’s edition of WDD.
Healthcare providers and other stakeholders should also intensify their efforts in screening for diabetes and providing adequate information to assist people living with it on the basic management of the disease and assist the public in recognising the signs and symptoms of the condition and the available prevention options.
Nigerians should be aware that diabetes is essentially a lifestyle disease and can be prevented simply by adopting a healthy lifestyle which involves good diets, regular exercise and health consciousness. It is a silent killer, which is why many people do not know they have it and live without taking the necessary precautions to control it. Everyone in the country should join hands and prevent the illness, while those already diagnosed should adhere strictly to their doctor’s recommendations on control measures.
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Addressing Unruly Behaviours At The Airports

It began as a seemingly minor in- flight disagreement. Comfort Emmason, a passenger on an Ibom Air flight from Uyo to Lagos, reportedly failed to switch off her mobile phone when instructed by the cabin crew. What should have been a routine enforcement of safety regulations spiralled into a physical confrontation, sparking a national debate on the limits of airline authority and the rights of passengers.
The Nigerian Bar Association (NBA) wasted no time in condemning the treatment meted out to Emmason. In a strongly worded statement, the body described the incident as “a flagrant violation of her fundamental human rights” and called for a thorough investigation into the conduct of the airline staff. The NBA stressed that while passengers must adhere to safety rules, such compliance should never be extracted through intimidation, violence, or humiliation.
Following the altercation, Emmason found herself arraigned before a Magistrate’s Court and remanded at Kirikiri Maximum Security Prison, a location more commonly associated with hardened criminals than with errant passengers. In a surprising turn of events, the Federal Government later dropped all charges against her, citing “overriding public interest” and concerns about due process.
Compounding her woes, Ibom Air initially imposed a lifetime ban preventing her from boarding its aircraft. That ban has now been lifted, following mounting public pressure and calls from rights groups for a more measured approach. The reversal has been welcomed by many as a step towards restoring fairness and proportionality in handling such disputes.
While her refusal to comply with crew instructions was undeniably inappropriate, questions linger about whether the punishment fit the offence. Was the swift escalation from verbal reminder to physical ejection a proportionate response, or an abuse of authority? The incident has reignited debate over how airlines balance safety enforcement with respect for passenger rights.
The Tide unequivocally condemns the brutal and degrading treatment the young Nigerian woman received from the airline’s staff. No regulation, however vital, justifies the use of physical force or the public shaming of a passenger. Such behaviour is antithetical to the principles of customer service, human dignity, and the rule of law.
Emmason’s own defiance warrants reproach. Cabin crew instructions, especially during boarding or take-off preparations, are not mere suggestions; they are safety mandates. Reports suggest she may have been unable to comply because of a malfunctioning power button on her device, but even so, she could have communicated this clearly to the crew. Rules exist to safeguard everyone on board, and passengers must treat them with due seriousness.
Nigerians, whether flying domestically or abroad, would do well to internalise the importance of orderliness in public spaces. Adherence to instructions, patience in queues, and courteous engagement with officials are hallmarks of civilised society. Disregard for these norms not only undermines safety but also projects a damaging image of the nation to the wider world.
The Emmason affair is not an isolated case. Former Edo State Governor and current Senator, Adams Oshiomhole, once found himself grounded after arriving late for an Air Peace flight. Witnesses alleged that he assaulted airline staff and ordered the closure of the terminal’s main entrance. This is hardly the conduct expected of a statesman.
More recently, a Nollywood-worthy episode unfolded at Abuja’s Nnamdi Azikiwe International Airport, involving Fuji icon “King”, Wasiu Ayinde Marshal, popularly known as KWAM1. In a viral video, he was seen exchanging heated words with officials after being prevented from boarding an aircraft.
Events took a dangerous turn when the aircraft, moving at near take-off speed, nearly clipped the 68-year-old musician’s head with its wing. Such an occurrence points to a serious breach of airport safety protocols, raising uncomfortable questions about operational discipline at Nigeria’s gateways.
According to accounts circulating online, Wasiu had attempted to board an aircraft while he was carrying an alcoholic drink and refused to relinquish it when challenged. His refusal led to de-boarding, after which the Aviation Minister, Festus Keyamo, imposed a six-month “no-fly” ban, citing “unacceptable” conduct.
It is deeply concerning that individuals of such prominence, including Emmason’s pilot adversary, whose careers have exposed them to some of the most disciplined aviation environments in the world, should exhibit conduct that diminishes the nation’s reputation. True leadership, whether in politics, culture, or professional life, calls for restraint and decorum, all the more when exercised under public scrutiny.
Most egregiously, in Emmason’s case, reports that she was forcibly stripped in public and filmed for online circulation are deeply disturbing. This was an act of humiliation and a gross invasion of privacy, violating her right to dignity and falling short of the standards expected in modern aviation. No person, regardless of the circumstances, should be subjected to such degrading treatment.
Ibom Air must ensure its staff are trained to treat passengers with proper decorum at all times. If Emmason had broken the law, security personnel could have been called in to handle the matter lawfully. Instead, her ordeal turned into a public spectacle. Those responsible for assaulting her should face prosecution, and the airline should be compelled to compensate her. Emmason, for her part, should pursue legal redress to reinforce the principle that justice and civility must prevail in Nigeria’s skies.
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